MGA Claims Program Lead TPA & Data-Driven Excellence
Travelers Canada
Travelers Canada in Boston is looking for a qualified candidate to manage claims and ensure excellence in processes. Responsibilities include guiding TPA partners, monitoring KPIs, and conducting audits while having the opportunity to provide expert insights on claims. The ideal candidate should possess relevant professional designations and at least 5 years of experience in claims or risk management, specifically with Commercial Lines General Liability. This role supports a hybrid working model and offers comprehensive benefits. #J-18808-Ljbffr
- Simply Business is seeking a Claims Program Manager in Boston, MA. This role focuses on ensuring claims integrity and driving profitability... ...program management and oversight of Third-Party Administrator (TPA) programs. The ideal candidate will have a Bachelor’s Degree...Claims
$85.6k - $141.2k
...Responsibilities Guide TPA partners as the... ...to ensure claims excellence and accurate... ...claims. Drive data intelligence by... ...stakeholders to lead roundtable discussions... ...a data‑driven mindset and analytical... ...with TPA, MGA or delegated... ...company’s bonus program. Participation...DataClaimsTemporary workWork at office$186k - $256k
...About This Role:**The Field Excellence Lead for New Products & Account Management... ...Heads and Sales VPs using data and field credibility to... ...* Fitness & Wellness programs including a fitness reimbursement... ...of scam recruitment offers claiming to be from Biogen. All legitimate...DataClaimsTemporary workWork at officeLocal areaImmediate startRemote workShift work$175k - $195k
A leading biotechnology company seeks a Clinical Programs Director to drive data-driven solutions in CRM Analytics. This role involves leadership on AI tools and overseeing the development of analytics capabilities to support critical initiatives. Candidates should possess...DataRemote work$125k - $150k
...Technologies (FRT) is a leading technology-based... ...identify eligibility, file claims, and recover funds... ...integrated marketing programs that generate demand,... ...points, and implement data-driven optimizations. Leverage... ...is a plus ~ Excellent Communicator, both verbal...DataClaimsTemporary workWork at office2 days per week3 days per week- ...NeighborHealth’s 340B pharmacy program. This entails a... ..., including data submission, audit... ...pricing eligibility. Lead internal 340B audit... .... Validate claims data submitted through... .... Validate TPA rules/logic are current... ...program components. Excellent attention to detail...DataClaimsContract workFixed term contractWork experience placement
$177k - $278.08k
...) organization as the Lead of Immunology Analytics... ...PsA. This role drives data‑driven decision making across... ...like patient‑level claims, sales, patient access... ...strategy into action; excellent analytical skills and... ...in analytics tools and programming languages (e.g., Python...DataClaimsMinimum wageFull timeTemporary workLocal area$177k - $278.08k
...payer decision outcomes. Lead cross‑functional... ...innovative digital, data science, and AI‑driven health economics and... ...strategic thought leadership programs. Advance Takeda’s... ...of innovation and excellence in health economics.... ...large databases (e.g., claims data, electronic health...DataClaimsMinimum wageFull timeContract workTemporary workLocal areaRemote workWorldwide$116k - $145k
DraftKings Inc. is seeking a Talent Management Program Manager in Boston to oversee and enhance talent management programs across the organization... ...in managing talent programs and demonstrate strong skills in data analysis, project management, and communication. The position...Data$136.4k - $253.2k
...role is in Analytical Data Science, a core function... ...to generate data-driven insights, identify opportunities... ...is recognized as a leading hub for top industry... ...and align statistical programming practices across both... ...culture of technical excellence, and ensuring alignment...DataLocal areaRelocation package- Humana Inc seeks a Program Delivery Lead to oversee eligibility strategy and vendor programs. This role drives automation, analyzes complex data sets, and ensures quality metrics in healthcare operations. The ideal candidate will have over 5 years of experience and a Bachelor...DataRemote job
$130k - $140k
...a Sustainability Lead to join our growing... ...design sustainability programs and educational... ...the agency. Goal-driven approach with a... ...indicators, and make data-driven decisions.... ...& Communication Excellent communication skills... ...or misleading claims. Systems & Frameworks...DataClaimsAgency workFull timeWork at officeLocal areaWorldwideFlexible hours2 days per week- ...Allen & Gerritsen in Boston seeks a driven Program Manager to lead complex programs and elevate operational quality. You will manage cross-functional... ...of Program Management experience in a creative agency and excels in navigating challenges with a solution-oriented approach...
$210k - $303.33k
...Strategy and Cross-Organization Excellence Lead Location: Cambridge, MA... ...About Sanofi We’re an R&D-driven, AI-powered biopharma company... ..., Specialty Care, providing data-driven insights, scenario analyses... ...business transformation, or program management, with demonstrated...DataImmediate startShift work$109.3k - $180.2k
...Managing General Agent (MGA) team, you will be... ...teams to drive program profitability, growth... ...interpret complex data, identifying growth... ...closely with the Claims Program Manager to... ...portfolio action. Lead underwriting projects... ...and form/rate rules. Excellent communication,...DataClaimsPermanent employmentTemporary workWork experience placement$178.5k - $257.83k
Job Title: Sr. AI Driven Innovations Lead Location: Morristown, NJ About the Job... ...Lead within the Clinical Data & AI Processing organization... ..., driving operational excellence across the organization. Main... ...data management, statistical programming, biostatistics) and...DataTemporary workWork experience placementFlexible hours$185k
...looking for a Senior Healthcare Data Analyst to help customers... ...operationalize complex clinical and claims data at scale. What's on... ...-impact role within a mission-driven healthcare technology business... ...problem-solving ability ~ Excellent communication skills with the...DataClaimsRemote work$120k - $155k
...Reporting to: Claims Director, Property... ...The role requires excellent technical claims handling... ...implementation of data to drive key... ...and the ability to lead through change. AVP... ...Travel Reimbursement Programs ~ Annual... ...creative, and values-driven culture ~ Modern...DataClaimsPermanent employmentTemporary workWork at office- ...AI Innovation Lead We are seeking an AI Innovation... ...Lead (Managing Lead Data Scientist) to spearhead... ...from underwriting and claims to customer service.... ...culture of innovation and excellence. Communicate insights... ...oriented, and business impact-driven. Preferred...DataClaimsRemote workRelocation package
$86k - $114k
...Recruiting Coordination Lead Anduril Industries... ...that turns thousands of data streams into a realtime... ...managers, leverage data-driven insights to streamline... ...ModernLoop). Operational Excellence: Experience managing... ...or fraudulent outreach claiming to be from Anduril,...DataClaimsFull timeWork experience placementWork at officeImmediate start3 days per week$62.5k - $91k
...reimbursement. Abstracts required data to input into the Medical... ...attendance at in‑service programs, conferences, workshops, and... ...Revenue Cycle Analysts in working claims in scrubber to clear for... ...with Microsoft applications; excellent organizational and multitasking...DataClaimsFlexible hours$132.23k - $160.31k
...secure, and scale in an AI-driven world. By connecting people, data, and applications quickly... ...an experienced Technical Program Manager to drive the... ...technical programs. You will lead programs in a fast-paced... ...and interdependencies ~ Excellent stakeholder management...DataTemporary workRemote work$124k - $155k
...Principal Technical Program Manager CMT is seeking... ...to independently lead broad cross-organization... ...simplicity, and operational excellence. CMT is looking for... ...with ML- or data-driven product development, including... ..., and streamline claims. Headquartered in Cambridge...DataClaimsTemporary workSummer workWork from homeWorldwideFlexible hours$249.97k - $388.13k
...Global Value Evidence Lead, is a strategic leader... ...culture of scientific excellence, and ensuring strategic... ...evidence generation and data use. Qualifications:... ...holidays, and paid leave programs as well as other company... ...fee, even if claimed you will be reimbursed,...DataClaimsTemporary workLocal areaFlexible hours$62.5k - $91k
...reimbursement. Abstracts required data to input into the... ...Position : Inpatient Lead Coder Department :... ...at in-service programs, conferences, workshops... ...Cycle Analysts in working claims in scrubber to clear for... ...techniques required. Excellent organizational skills,...DataClaimsFull timeFixed term contractFlexible hours$196k - $269.5k
...intricate work groups, while leading critical projects from... ...processes, and data-driven strategies. • Manage a... ...Collaborate with TA Centers Of Excellence to deliver... ...insurances* Fitness & Wellness programs including a fitness... ...recruitment offers claiming to be from Biogen. All...DataClaimsTemporary workFor contractorsLocal area$136.4k - $253.2k
...operational execution for multiple clinical programs or an entire therapeutic area. Lead a team of programmers and junior... ..., and innovation. Champion data and programming standards to ensure... ...Respect for cultural differences and excellent written and verbal communication skills...DataLocal areaRelocation package$175k - $425k
...leadership responsibilities as a Lead Dentist — helping guide clinical excellence, mentor teammates, and... .... Our model is built for driven dentists: those who want... ...high-performing aligner program Partner with clinical... ...clinical decisions grounded in data, evidence, and patient...DataDaily paidFull timePart timePrivate practiceLocal areaShift work2 days per week3 days per week- ...and the MassHealth program. EOHHS seeks to promote... ...Supervisor to lead the Medicaid Management... ...Reimbursement and Claims Business Analysis... ...organized, results-driven candidate who possesses... ...business rules and data standards.... ...Visio, Project, Word, Excel, MS Access, and PowerPoint...DataClaimsFull timePart timeFor contractorsWork experience placementWork from homeMonday to Friday
- ...Lead IT Epic Analyst - Professional Billing and Claims Position Summary The Lead Analyst for the Professional Billing... ...managing multiple priorities. Excellent communication and interpersonal... ...Knowledge of SQL, reporting tools, or data extracts. Experience with...DataClaimsWork experience placementFlexible hours
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